ICD-10 O74
Non-Billable HeaderComplications of anesthesia during labor and delivery
About ICD-10-CM O74
ICD-10-CM code O74 represents Complications of anesthesia during labor and delivery. This is a non-billable header code in the Pregnancy, Childbirth, and Puerperium chapter (block O74). The 2026 edition of ICD-10-CM O74 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for O74
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Includes
- maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
Use Additional Code
When coding O74, also report these additional codes when applicable.
- code, if applicable, to identify specific complication
Medicare LCD Coverage for O74
Local Coverage Determinations (LCDs) from CMS MACs that list O74 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O74.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O74 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O74
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To O74
Other codes in section O60-O77 (Complications of labor and delivery).
ICD-10 O74, Billing FAQ
Is ICD-10 code O74 billable? +
No, O74 is a non-billable header code. Use a more specific child code from block O74 when submitting claims.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team